Provider Demographics
NPI:1023817640
Name:VADEN, KASHANAE MICHELLE
Entity type:Individual
Prefix:MRS
First Name:KASHANAE
Middle Name:MICHELLE
Last Name:VADEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 LEISURE TOWN RD APT 244
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-9459
Mailing Address - Country:US
Mailing Address - Phone:707-685-2888
Mailing Address - Fax:
Practice Address - Street 1:6801 LEISURE TOWN RD APT 244
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-9459
Practice Address - Country:US
Practice Address - Phone:707-685-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula